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Endoclipping of iatrogenic colonic perforation to avoid surgery

机译：医源性结肠穿孔的内窥镜检查避免手术

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摘要

Colonoscopy is an established tool for the diagnosis and management of colonic and rectal pathology. Even though colonic perforation is rare after colonoscopy, it is a serious and typical complication. The definitive management remains controversial. Both operative and nonoperative techniques have been described in the literature, though the standard treatment for these patients is still an operative repair of the perforation site. Recently, endoscopic clip application was recommended, particularly for iatrogenic perforations, but less is known about the effectiveness of endoluminal repair of colonic perforations with clips.
机译：结肠镜检查是诊断和管理结肠和直肠病理的既定工具。尽管结肠镜检查后结肠穿孔很少见，但它是一种严重且典型的并发症。最终管理仍存在争议。文献中已经描述了手术和非手术技术，尽管这些患者的标准治疗仍然是对穿孔部位的手术修复。最近，推荐使用内窥镜钳夹，特别是对于医源性穿孔，但人们对用钳夹腔内修补结肠穿孔的有效性了解甚少。

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